Individual
MR. WILLIAM HENRY MUKES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2500 S BROADWAY STE 100, SUITE 100, EDMOND, OK 73013-4039
(316) 990-1907
(405) 241-5221
Mailing address
2500 S. BROADWAY ST BLDG 100, SUITE 100, EDMOND, OK 73013-4038
(316) 990-1907
(405) 241-5221
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1041
OK
106H00000X
Marriage & Family Therapist
1158
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200378070A
—
OK
Enumeration date
01/05/2010
Last updated
10/18/2012
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